M Dental Granbury, Pllc | |
500 W Pearl St Granbury TX 76048-2044 | |
(817) 275-4817 | |
Not Available |
Full Name | M Dental Granbury, Pllc |
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Speciality | Clinic/center - Dental |
Location | 500 W Pearl St, Granbury, Texas |
Authorized Official Name and Position | Lee Charles Mercer (OWNER) |
Authorized Official Contact | 8172754817 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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M Dental Granbury, Pllc 725 N Fielder Rd Arlington TX 76012-4636 Ph: (817) 275-4817 | M Dental Granbury, Pllc 500 W Pearl St Granbury TX 76048-2044 Ph: (817) 275-4817 |
NPI Number | 1396201778 |
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Provider Enumeration Date | 02/11/2019 |
Last Update Date | 02/11/2019 |
Identifier | Type | State | Issuer |
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1396201778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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